Organization
ALLIED CENTER FOR SPECIAL SURGERY, SAN ANTONIO, LLC
Active
Other names
ST. MICHAEL'S CENTER FOR SPECIAL SURGERY, SAN ANTONIO
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA C KELLNER DOC (DIRECTOR OF MEDICAL CREDENTIALING)
(713) 586-6705
Entity
Organization
Contact information
Practice address
18518 HARDY OAK BLVD, SUITE 100, SAN ANTONIO, TX 78258-4759
(713) 586-6705
(713) 586-6752
Mailing address
PO BOX 925185, HOUSTON, TX 77292-5185
(713) 586-6705
(713) 586-6752
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
801158919
TX
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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